NUR 401 Module 5
1. Implications of Adolescent Pregnancies: maternal health: increased risk for anemia, dystocia,
pre-eclampsia, preterm birth, and experiencing violence.
fetal-neonatal health: higher incidence of prematurity and low birth weight/nutrition.
expectant father: most fathers are not ready for parenthood, may be depressed, not supportive, or leaves the family.
impact of teenage pregnancy on parenting: at risk of being a non-nurturing parent, they still are thinking about
themselves.
socioeconomic: costs often not covered by parents insurance, developmental tasks of adolescence are interrupted, and
higher incidence of abuse/neglect.
2. Adolescent Delayed Prenatal Care: unsure where to go for care, may not realize they are pregnant,
may deny pregnancy, may want to hide pregnancy for as long as possible.
3. Advantages of Delayed Childbirth: financial resources, psychosocial maturity, and self confidence.
4. Disadvantages of Delayed Childbirth: anxiety about antepartum testing, pregnancy complications,
exhaustion, longer recovery time due to not being able to "bounce back", genetic disorder complications (possible
pre-eclampsia, stillbirths, placenta previa/abruption, multi fetuses from IVF or fertility medications, dysfunctional labor,
and low birth weight infants).
5. Interventions for Families with Infants with Congenital Anomaly: being supportive,
having preconception care, reinforcing and clarifying information, facilitating expression of emotions, providing parents
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,information, informing parents how long it will take to receive test results, and try your best to decrease their anxiety.
6. Implications of Substance Abuse: whatever substance was taken it will effect the baby worse and
for a longer time, baby will be going through withdrawal which can lead to fetal injury or even death (will possibly
have to give baby methadone to help with withdrawal), baby may have congenital or physical abnormalities from the
substances/ "teratogens" (like alcohol fetal babies having different appearances).
7. Interventions for Fetal Losses: allow the mother to express her feelings, respecting their decisions,
acknowledge the infant, present the infant to the parents cleaned up, create a memory box, respect any cultural
practices, and give them time to grieve.
8. Nurses Role During Adoption: the nurse needs to be very supportive and non judgemental, nurse
should be prepared for and respect any special wishes the mother may have about the birth, the nurse should try to
establish rapport and a trusting relationship with the birth mother.
9. Cycle of Abuse: tension building, battering, and honeymoon.
10. Tension Building Phase: the man engages in increasingly hostile behaviors such as throwing objects,
pushing, swearing, and threatening. he often consumes increased amounts of alcohol or drugs. the women tries to
stay out of the way or to placate the man during this phase and thus avoid the next phase.
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, 11. Battering Incident Phase: the man explodes in violence. he may hit, burn, beat, or rape the women,
often causing substantial physical injury. the women feels powerless and simply endures the abuse until the episode
runs its course, usually 2 to 24 hours.
12. Honeymoon Phase: the batterer will do anything to make up with his partner. he is contrite and remorseful
and promises never to do it again. he may insist on having intercourse to confirm that he is forgiven. the battered
women wants to believe the promise that the abuse will never happen again, but this is seldom the case.
13. Signs of Abuse: partner speaking for them or not leaving their side, facial grimacing, slow and unsteady
gait, vomiting, abdominal tenderness, absence of facial response, welts, bruises or swelling, lacerations, burns, vaginal
or rectal bleeding, evidence of fractures (nose, face, arms, or ribs), anxiety, depression, panic attacks, sleeplessness,
anorexia, wounds that don't match story, multiple bruises in various stages of healing, bruising on arms, old and
untreated wounds.
14. Natural Family Planning: fertility awareness or periodic abstinence, use physiologic cues to predict
ovulation and avoid coitus when conditions are favorable for fertilization.
calendar or rhythm method, standard days method, cervical mucus and two-day method, symptothermal, abstinence,
breastfeeding or coitus interrupt "pull out".
15. Barries Methods: involve chemicals or devices that prevent sperm from entering the cervix. they avoid the
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1. Implications of Adolescent Pregnancies: maternal health: increased risk for anemia, dystocia,
pre-eclampsia, preterm birth, and experiencing violence.
fetal-neonatal health: higher incidence of prematurity and low birth weight/nutrition.
expectant father: most fathers are not ready for parenthood, may be depressed, not supportive, or leaves the family.
impact of teenage pregnancy on parenting: at risk of being a non-nurturing parent, they still are thinking about
themselves.
socioeconomic: costs often not covered by parents insurance, developmental tasks of adolescence are interrupted, and
higher incidence of abuse/neglect.
2. Adolescent Delayed Prenatal Care: unsure where to go for care, may not realize they are pregnant,
may deny pregnancy, may want to hide pregnancy for as long as possible.
3. Advantages of Delayed Childbirth: financial resources, psychosocial maturity, and self confidence.
4. Disadvantages of Delayed Childbirth: anxiety about antepartum testing, pregnancy complications,
exhaustion, longer recovery time due to not being able to "bounce back", genetic disorder complications (possible
pre-eclampsia, stillbirths, placenta previa/abruption, multi fetuses from IVF or fertility medications, dysfunctional labor,
and low birth weight infants).
5. Interventions for Families with Infants with Congenital Anomaly: being supportive,
having preconception care, reinforcing and clarifying information, facilitating expression of emotions, providing parents
1/8
,information, informing parents how long it will take to receive test results, and try your best to decrease their anxiety.
6. Implications of Substance Abuse: whatever substance was taken it will effect the baby worse and
for a longer time, baby will be going through withdrawal which can lead to fetal injury or even death (will possibly
have to give baby methadone to help with withdrawal), baby may have congenital or physical abnormalities from the
substances/ "teratogens" (like alcohol fetal babies having different appearances).
7. Interventions for Fetal Losses: allow the mother to express her feelings, respecting their decisions,
acknowledge the infant, present the infant to the parents cleaned up, create a memory box, respect any cultural
practices, and give them time to grieve.
8. Nurses Role During Adoption: the nurse needs to be very supportive and non judgemental, nurse
should be prepared for and respect any special wishes the mother may have about the birth, the nurse should try to
establish rapport and a trusting relationship with the birth mother.
9. Cycle of Abuse: tension building, battering, and honeymoon.
10. Tension Building Phase: the man engages in increasingly hostile behaviors such as throwing objects,
pushing, swearing, and threatening. he often consumes increased amounts of alcohol or drugs. the women tries to
stay out of the way or to placate the man during this phase and thus avoid the next phase.
2/8
, 11. Battering Incident Phase: the man explodes in violence. he may hit, burn, beat, or rape the women,
often causing substantial physical injury. the women feels powerless and simply endures the abuse until the episode
runs its course, usually 2 to 24 hours.
12. Honeymoon Phase: the batterer will do anything to make up with his partner. he is contrite and remorseful
and promises never to do it again. he may insist on having intercourse to confirm that he is forgiven. the battered
women wants to believe the promise that the abuse will never happen again, but this is seldom the case.
13. Signs of Abuse: partner speaking for them or not leaving their side, facial grimacing, slow and unsteady
gait, vomiting, abdominal tenderness, absence of facial response, welts, bruises or swelling, lacerations, burns, vaginal
or rectal bleeding, evidence of fractures (nose, face, arms, or ribs), anxiety, depression, panic attacks, sleeplessness,
anorexia, wounds that don't match story, multiple bruises in various stages of healing, bruising on arms, old and
untreated wounds.
14. Natural Family Planning: fertility awareness or periodic abstinence, use physiologic cues to predict
ovulation and avoid coitus when conditions are favorable for fertilization.
calendar or rhythm method, standard days method, cervical mucus and two-day method, symptothermal, abstinence,
breastfeeding or coitus interrupt "pull out".
15. Barries Methods: involve chemicals or devices that prevent sperm from entering the cervix. they avoid the
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